July 18th, 2019

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Role of Demographics and Diagnosis on Fertility Preservation Decision-Making Among Female Cancer Patients of Reproductive Age
Authors:  Eden R. Cardozo, M.D., Mckenna M. Longacre, M.A., Anatte E. Karmon, M.D., and Mary E. Sabatini, M.D., Ph.D.
  OBJECTIVE: To understand if patient demographics or diagnosis is correlated with the decision to pursue or not to pursue fertility preservation treatment among cancer patients who present for fertility preservation consultation.

STUDY DESIGN: A retrospective review of 159 female oncology patients seen at the Massachusetts General Hospital Fertility Center for Fertility Preservation Consultation between January 1, 2011, and January 1, 2014.

RESULTS: No difference was seen among any of the demographic or cancer diagnosis variables in terms of whether patients decided to pursue fertility preservation options or not, with the exception that single (unpartnered) status was correlated with a lower likelihood of pursuing fertility preservation (p=0.045).

CONCLUSION: Few demographic or cancer diagnosis–related variables could be used to predict who will pursue fertility preservation and who will not in this study. All women of reproductive age with a diagnosis of cancer should be offered fertility preservation consultation.
Keywords:  cancer, cryopreservation, demography, fertility, fertility preservation, neoplasms, oocyte collection, oocyte retrieval, oocytes, oophoropexy, ovarian reserve, pelvic irradiation, radiation protection, referral and consultation
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